HikingNinja BSN, MSN, DNP, RN, APRN, NP

Psych

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All Content by HikingNinja

  1. HikingNinja

    Any RNs applying Dermabond out there?

    Hi all, Quick question as I am doing research for my ED about RNs being trained to use dermabond. Not talking about suturing or first assistant type stuff here, just simple lac repair when applicable...
  2. HikingNinja

    Any RNs applying Dermabond out there?

    Thanks to all who have replied so far. I thought I'd give you an update on the info I've gathered. I've been slowly hearing back from the state BONs. As stated before, this applies to RNs who are not...
  3. HikingNinja

    Any RNs applying Dermabond out there?

    Thanks for the reply. Can you tell me what state you are located in? I think it is an interesting topic because it appears to be such a gray area out there. Interestingly enough, Dermabond's parent...
  4. HikingNinja

    Any RNs applying Dermabond out there?

    Can you tell me in what state you are located? Thank you for the reply.
  5. HikingNinja

    Any RNs applying Dermabond out there?

    Thank you so much for the reply. Can you PM me with the hospital name and location? I won't mention where I got the information. I'd like to talk to them about their policy on dermabond application...
  6. HikingNinja

    RN input need for project

    hi all, i'm doing a little project for work. we have alot of new grads and travel nurses who come on through our facility. many of the travel rns are used to being able to do certain things in their...
  7. HikingNinja

    German nurse new to Las Vegas

    Mieke, I would contact the Nurse Managers for the units you want to work. They have a way of allowing you to put in an application without all that run around from Human Resources.
  8. HikingNinja

    What's it like working in Vegas hospitals?

    There are many nice areas to choose from. I live in Henderson/silverado ranch/anthem area to the south. Summerlin is nice. I know alot of people who like Mountain's edge to the southwest too. I...
  9. HikingNinja

    Things you would like the ICU to understand

    I wish the ICU staff would.... ....not act so condescending when I don't know every detail about my patient....I don't have the full medical history....please understand the family is in the lobby...
  10. HikingNinja

    Moving from ICU to ER

    So true!. I also live about 25 minutes from my hospital and work nights. I call my hubbie on the way home from work and he talks to me almost the entire drive to keep me awake. If he can't I blast...
  11. HikingNinja

    best paid

    OMG this is so funny! This thread was started in 2004!
  12. HikingNinja

    Moving to Vegas; worried about RN jobs available

    Don't go by the HR postings. Actually, bypass HR if you can. Call up the hospitals you are interested in and ask for the names and contact info of the Nurse Managers of the Depts you want. Then...
  13. HikingNinja

    You might be a trauma nurse if...............

    ......after the "near decapitation/hanging/fall from 3 stories/head cracked like an egg suicide" you got in last night you suddenly have an urge to eat steak and eggs..... ....you voice this and the...
  14. HikingNinja

    Did I do the right thing?

    I work in a pretty busy ER in a metro area. This happens all the time. We just make sure we document something like "patient and family instructed to alert RN if leaving facility for removal of...
  15. HikingNinja

    What's it like working in Vegas hospitals?

    They are pretty flexible, depending on which ICU. Some work the same schedule all the time. Sun-Mon for example or alternate. You just need to do your four weekend shifts a month. For the longest...
  16. HikingNinja

    What's it like working in Vegas hospitals?

    Here's my opinion. St Rose system (Dilema, San Martin, Siena) - Pays the best of all the hospital systems. Treats their employees well from what I've heard (ER RNs got bonuses at christmas). I've...
  17. HikingNinja

    Nevada Board of Nursing Office?

    J Just type Nevada State Board of Nursing into any search engine. The site has guide to how to apply for licensure and a phone number you can call with
  18. HikingNinja

    Cardiac to ED

    I love the ED for the pace and variety. And you do literally have to become a MacGyver of sorts. It's very team oriented. The docs often ask your opinion of what you think is going on with the pt....
  19. HikingNinja

    Scan medications in the ER using Meditech and T-system

    We do. And in my opinion its just plain silly. It takes more time and our scanners don't work half the time. Often with critical care patients we just use the meds and ignore Meditech, just state...
  20. After patients walk in or come by EMS we have an offload area/room right next to triage. We call a doc in for an RME (rapid medical exam). Usually they do 3 or 4 of these at once. They order basic...
  21. HikingNinja

    Assessment & Monitoring, ETOH+ (and some questions about Geodon)

    I treat sedated ETOH patients the same as unknown altered LOC patients. I try to do q15min checks. I include a pupillary exam and document it is consistent with the medications given, airway...
  22. HikingNinja

    cardiac progressive care/telemetry

    Usually its the following per RN Med/tele - 4-5 days 7-9 nights IMC (progressive or step down units) - 2 days and nights ICU - 2 or 1 on 1 days and nights ER - 4 (hopefully you only have 2 ICU or IMC...
  23. HikingNinja

    What is your incentive for obtaining your CEN?

    We are mandated to get our TNCC and they pay for that but we get no incentive for it. They do not pay for any other certifications or give any incentives for them. We don't have a plaque. As for...
  24. HikingNinja

    Last Name on ID Badges

    I'm in Nevada and our hospital gives us a choice. However, all the ER RNs choose to cover their last name or have it excluded from their badge. JACHO just visited and didn't have a problem with it....
  25. HikingNinja

    non-verbal signs of painlesness

    Back to the original question, I just document vital signs, nonverbal behaviors (texting is my favorite), and I love quotes. Especially if the patient is belligerent. If they are the slightest bit...